Foster Application

Application Form

1Applicant

2Family

3Home

4Care

Name(Required)

First Last

Age Range(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State Post Code

Phone(Required)

Employment & Schooling

Are You Employed?(Required)

Yes

Full or Part Time?(Required)

Full Time

Part Time

Family

Below are three areas for information on other members of your family. Please include all other adults, children and pets living in your home by clicking on the designated button.

Are There Other Adults In The Home?(Required)

Yes

Are There Children In The Home?(Required)

Yes

Are There Other Dogs In The Home?(Required)

Yes

Are They Desexed?(Required)

Yes

Are There Other Pets In The Home?(Required)

Yes

Home

Type of Residence(Required)

Do you Rent or Own?(Required)

Rent

Own

Yard Information

Do you have a yard?(Required)

Yes

Is the yard fenced?(Required)

Yes

Family & History

What Type Of Household Do You Have?

Other(Required)

Have you ever had a dog before?(Required)

Yes

Which dog breed?(Required)

Dachshund Standard – Smooth

Dachshund Standard – Wired

Dachshund Standard – Long

Dachshund Miniature – Wired

Dachshund Miniature – Long

Dachshund Miniature – Smooth

Which dog breed (secondary)?(Required)

Dachshund Standard – Smooth

Dachshund Standard – Wired

Dachshund Standard – Long

Dachshund Miniature – Wired

Dachshund Miniature – Long

Dachshund Miniature – Smooth

How long did you own him/her?(Required)

0-3 Months

4-6 Months

7-11 Months

1 Year

2 Years

3 Years

4 Years

5-10 Years

11 Years+

Is Any Member Of Your Household Allergic To Dogs?(Required)

Yes

Sleep & Alone Time

Where Will The Dog Sleep?

Where Will The Dog Be When Alone?

Do You Have A Doggie Door?(Required)

Yes

Is It Locked When You Are Away From Home?(Required)

Yes

If You Are Gone From Home During The Day, Does Someone Let Your Dogs Out?(Required)

Yes

What is The Longest Time The Dog Will Be Alone (without humans)?

Who Will Care For The Dog While You Are On Vacation?

Behavior & Training

Dogs Can Take A Month Or Longer To Adjust To A New Home, Particularly If Other Pets Are Involved. Are You WIlling To Devote This Much Time To Make The Dog Comfortable In Your Home?(Required)

Yes

What Behaviours Can You Tolerate (AND WORK ON)?

Needs Social Skills(Required)

Yes

Will Train

Accidents In The House(Required)

Yes

Will Train

Inappropriate Chewing(Required)

Yes

Will Train

Excessive Barking(Required)

Yes

Will Train

Digging(Required)

Yes

Will Train

Separation Anxiety(Required)

Yes

Will Train

Other(Required)

Yes

Please Explain Other Behaviors You Cannot Tolerate(Required)

What Are Your Plans For Training The Dog?

Other Training

Foster Care

Foster Care Please describe any experience or special training you have that may help you evaluate personality and temperament:(Required)

Please describe any experience or special training you have had that may help you to understand and deal with potential problems a rescue dog may have:(Required)

Are you willing to foster a dog with medical needs which may require trips to a veterinarian?(Required)

Yes

Are you willing to foster a dog who may need training for behavior problems?(Required)

Yes

Do you understand that the foster dog is the property of the Rescue and can be removed from the foster family by the Rescue or their representatives at any time and without prior notice?(Required)

Yes

Do you understand that the foster dog must be treated as a housedog and a member of the family and in no case kept in any other manner?(Required)

Yes

Do you understand that any foster dog entrusted to your care must be provided adequate food, water, affection, socialization, training, exercise and medical care?(Required)

Yes

Do you understand that a foster family must provide a securely fenced yard or other safe means for exercising the dog and that under no circumstances is the dog to live or be kept out-of-doors?(Required)

Yes

Do you understand that under no circumstances shall the foster dog be sold, abandoned, relinquished to a pound, shelter or other rescue group, transferred or given to any other individual or to any establishment for the purpose of resale, nor to any research institution?(Required)

Yes

Do you understand that the Rescue and its representatives have limited information about the temperament and habits of the rescued dog?(Required)

Yes

Do you agree to provide the Rescue with an assessment of the dog’s interaction with the potential adoptive family and give an impression of the likely success of such adoption?(Required)

Yes

Are you willing and able to evaluate the personality and temperament of a foster dog to determine the best type of adoptive home? i.e. a home with children; adult home only; home with other animals; needs to be an only dog, etc(Required)

Yes

Are you willing to foster a dog who has been abused and/or neglected who may require special attention and lots of love and reassurance?(Required)

Yes

Are you willing to provide written progress reports to the Rescue's representative?(Required)

Yes

Do you understand that no decisions may be made regarding veterinary care (including euthanasia,) or placement without the prior approval of the Rescue?(Required)

Yes

Do you understand that under no circumstances will a foster dog be used for breeding?(Required)

Yes

Do you understand that a foster family is expected to provide basic training to help increase the successful transition into a permanent home?(Required)

Yes

Do you understand that if the foster family finds it can no longer keep the dog in their care, they shall notify the Rescue immediately?(Required)

Yes

Do you understand that in the event the foster family wishes to permanently adopt the rescue in their care, an Adoption Application must be filed and, if approved, an Adoption Placement Contract must be signed?(Required)

Yes

Do you understand that the foster family must ensure that the rescued dog is not allowed to run loose, injure or be injured by another animal or by any person?(Required)

Yes

Do you agree to cooperate in accommodating those who wish to see the rescued dog?(Required)

Yes

Is there anything else you would like to tell us about the care you would give a needy foster dog?

Would You Consider:

Select all that apply:

A Mixed Breed Dog(Required)

Yes

Possibly

Two Dogs(Required)

Yes

Possibly

A Dog That Can Be An Only Pet?(Required)

Yes

Possibly

A Dog That Is Afraid Of Small Children(Required)

Yes

Possibly

A Dog That Needs Medications?(Required)

Yes

Possibly

A Dog That Has a Serious Health Condition?(Required)

Yes

Possibly

A Dog Who Needs Training For A Behavior Issue?(Required)

Yes

Possibly

A Dog That Has Special Needs?(Required)

Yes

Possibly

A Dog That is Not Completely Housebroken?(Required)

Yes

Possibly

A Dog That is Not Completely Housebroken?*(Required)

Male

Female

No Preference

Select Age Range(Required)

Select Temperament(Required)

Is There Anything Else You Would Like to Let Us Know?

I am interested in receiving pet related services and products(Required)

Yes

Authorisation(Required)

I agree

All dogs placed through the Dachshund Rescue Australia will have health checks, personality and temperament evaluations, and will be spayed or neutered prior to placement unless a medical condition exists, diagnosed by a veterinarian, that would prevent this surgery. I understand that this is a preliminary application and that there may be no Dog available in rescue at this time. I understand that if a Dog should become available, that I will be required to provide further information including, but not limited to, personal and veterinary references. I further understand that all information on my Preliminary Rescue Foster Application will be kept confidential; that my application will be kept on file until I notify the Dachshund Rescue Australia that I am no longer interested in a rescue; and that I will not be contacted unless an appropriate Dog becomes available. I understand and agree